| NPI | 1740805837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001681) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-02-02 |